| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $19.05 | $20.89 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
HMSA
| Professional | $20.89 | $20.89 | $24.55 | |
Kaiser Permanente
| Professional | $21.38 | $23.44 | $27.54 | |
United
| Professional | $19.50 | $20.89 | $29.51 |